Individual
GABRIEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
943 GEARY ST SE, ALBANY, OR 97322-4904
(541) 967-7844
(541) 967-7844
Mailing address
943 GEARY ST SE, ALBANY, OR 97322-4904
(541) 967-7844
(541) 967-7844
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5760
OR
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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